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Hypersensitivity,Nerve Pain and Planar Faciitis - which treatment ?

Posted by Bob_f on 5/27/01 at 16:23 (049060)

Hi:

I have had severe foot pain since having Planar Faciitis that started back in October of 1996. It has severely limited my mobility: I use braces and
a sometime a wheelchair when I go out of the house (depending on the distance that I have to travel or standing involved). Now the pain seems to be related to the hypersensitivity of the skin. It usually starts in the front of the foot and can move to the heel or the outer edge. I cannot stand on a hard surface barefoot for more than 30 seconds. Around the house I wear new balance running shoes with two layers of spenco soles and socks containing a layer of silicon gel.

I have seen numerous specialists ( 2 pods, 3 orthos, 2 neurogists, and 1
physiatrist). I am currently seeing a physiatrist who's treatment for the hypersensitivity consists of contrasts baths (hot and cold) and dragging the foot on a braided rug (or using scrub brush) and walking barefoot for
short distances on the rug. This is not producted much results yet. Also he has had me on Elavil and Noratryiline (but at limited dosage due to the bad side effects).
I have had an EMG and it was not abnormal. Also I have been wearing night splints for several years now.

I have had PF 5 times in my lifetime and it only this last two times that
this hypersensitivity in the front of the foot has occurred at the same
time that the PF occurred. What is the relation of this hypersensitivity
to the PF?

I am interested in hearing from Dr. Zuckerman if there is a treatment that would be more effective?? Also has anybody else had a problem similar to this and had a treatment that works?

Should I see another specialist? and if so, which speciality?

Thanks! any help will be appreciated

Re: Post replies to "ask the doctors"

Bob_F on 5/27/01 at 17:56 (049074)

I move this to the 'ask the doctors' forum - please post your replies there.

Re: Hypersensitivity,Nerve Pain and Planar Faciitis - which treatment ?

BrianJ on 5/29/01 at 14:47 (049246)

Hello Bob --

Your condition is interesting, though I'm sorry you are in so much pain. Several questions: Are both feet equally painful? Was the original PF (Oct. '97) of gradual or specific traumatic onset? Do you by chance drive a stick shift (rather than automatic transmission) car? Does taping your feet decrease your pain? Does hot water make your feet feel better?

Your answers to these questions might help determine what the problem is.

Re: Hypersensitivity,Nerve Pain and Planar Faciitis - which treatment ?

Bob_F on 5/29/01 at 20:15 (049280)

Hi Brian:

The left foot is usually more painful than the right foot but the right
foot can get as painful sometimes. The hypersensitivity occurred at about
the same time as the PF (oct 96) and was the result of repeated braking
for 4 hours in a traffic jam. I currently have a hand control installed
in the car and do not have to use the foot on the brake. I orginally taped
the heel for the planar faciitis ( which was helpful). Not sure how I would tape the front of the foot (where most of the pain is now).
Actually cold water (or rotating hot and cold) fells better than hot water.

Re: Hypersensitivity,Nerve Pain and Planar Faciitis - which treatment ?

Julie on 5/30/01 at 02:05 (049308)

Hi Bob

If taping is going to help, the tape needs to connect the ball of the foot with the heel, and support the arch. You will find instructions for taping, with illustrations, in the heel pain book which you can read on screen (click on the link at the top of the page) or print out.

I think you would find the book a useful source of information about your foot problems generally. I'm sure one of the doctors will respond to your particular questions about skin sensitivity and what kind of specialist to see.

All the best, Julie

Re: Hypersensitivity,Nerve Pain and Planar Faciitis - which treatment ?

BrianJ on 5/30/01 at 20:24 (049404)

Hello Bob --

Everybody's PF seems to be a little bit different, so there's a lot of trial and error involved in finding relief. I agree with Julie that you must tape the whole foot lengthwise (attaching heel to ball of foot)to get any real relief.

You may want to try 'active release techniques' if it's available in your area. You can do a search on this board or on the Net in general to learn more. I've had about 5 sessions, and it has helped lessen my fore-foot pain.

Finally, if your 'hypersensitivity' includes a persistent burning sensation, you may want to look at some interesting posts on this board from a fellow named Gordon (you can search using his name). Gordon sounds very intelligent, and used (1) large doses of Vitamin C, (2) daily non-weightbearing aerobic exercise, and (3) a diet low in processed foods to cure his foot problems. In my opinion, his most interesting point is that circulation must be increased consistenty to heal the feet. Perhaps this is why your contrast baths (alternating hot & cold) are helpful.

Sorry about the long post.

-- B

Re: Post replies to "ask the doctors"

Bob_F on 5/27/01 at 17:56 (049074)

I move this to the 'ask the doctors' forum - please post your replies there.

Re: Hypersensitivity,Nerve Pain and Planar Faciitis - which treatment ?

BrianJ on 5/29/01 at 14:47 (049246)

Hello Bob --

Your condition is interesting, though I'm sorry you are in so much pain. Several questions: Are both feet equally painful? Was the original PF (Oct. '97) of gradual or specific traumatic onset? Do you by chance drive a stick shift (rather than automatic transmission) car? Does taping your feet decrease your pain? Does hot water make your feet feel better?

Your answers to these questions might help determine what the problem is.

Re: Hypersensitivity,Nerve Pain and Planar Faciitis - which treatment ?

Bob_F on 5/29/01 at 20:15 (049280)

Hi Brian:

The left foot is usually more painful than the right foot but the right
foot can get as painful sometimes. The hypersensitivity occurred at about
the same time as the PF (oct 96) and was the result of repeated braking
for 4 hours in a traffic jam. I currently have a hand control installed
in the car and do not have to use the foot on the brake. I orginally taped
the heel for the planar faciitis ( which was helpful). Not sure how I would tape the front of the foot (where most of the pain is now).
Actually cold water (or rotating hot and cold) fells better than hot water.

Re: Hypersensitivity,Nerve Pain and Planar Faciitis - which treatment ?

Julie on 5/30/01 at 02:05 (049308)

Hi Bob

If taping is going to help, the tape needs to connect the ball of the foot with the heel, and support the arch. You will find instructions for taping, with illustrations, in the heel pain book which you can read on screen (click on the link at the top of the page) or print out.

I think you would find the book a useful source of information about your foot problems generally. I'm sure one of the doctors will respond to your particular questions about skin sensitivity and what kind of specialist to see.

All the best, Julie

Re: Hypersensitivity,Nerve Pain and Planar Faciitis - which treatment ?

BrianJ on 5/30/01 at 20:24 (049404)

Hello Bob --

Everybody's PF seems to be a little bit different, so there's a lot of trial and error involved in finding relief. I agree with Julie that you must tape the whole foot lengthwise (attaching heel to ball of foot)to get any real relief.

You may want to try 'active release techniques' if it's available in your area. You can do a search on this board or on the Net in general to learn more. I've had about 5 sessions, and it has helped lessen my fore-foot pain.

Finally, if your 'hypersensitivity' includes a persistent burning sensation, you may want to look at some interesting posts on this board from a fellow named Gordon (you can search using his name). Gordon sounds very intelligent, and used (1) large doses of Vitamin C, (2) daily non-weightbearing aerobic exercise, and (3) a diet low in processed foods to cure his foot problems. In my opinion, his most interesting point is that circulation must be increased consistenty to heal the feet. Perhaps this is why your contrast baths (alternating hot & cold) are helpful.

Sorry about the long post.

-- B